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Federal forms, ICRs, and supporting documents

Information Collection

CHD Screening Tool

IC 266346 under ICR 202501-0920-008 · OMB 0920-1433.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

CHD Screening Tool 0920-23DV
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a CHD Screening Tool Att3_CHD3_Screening Tool_V2_resend_final.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

137 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 137 0 0 0 0 137
Annual IC Time Burden (Hours) 23 0 0 0 0 23
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.